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"Bludau, Juergen"
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Aging, but never old : the realities, myths, and misrepresentations of the anti-aging movement
This much-needed book provides honest, clear, and helpful medical information for older adults and their caregivers, written in an easily understandable language.There are many myths and much misinformation about aging.At the same time, there are few trustworthy books on the subject.
eBook
NO FOUNTAIN OF YOUTH FOR US
The Journal of the American Medical Association is about to send an overdue wake-up call to the Baby Boomers: Anti-aging is an oxymoron. The key to healthy aging and avoiding Alzheimer's disease is not as easy as swallowing a daily vitamin. Proactive health care, supplemented by a balanced healthy diet including vitamin-rich foods, is the secret to healthy aging.
Newspaper Article
UNITE IN ONE VOICE
One of the most common complaints I hear from my elderly patients is the difficulty in finding physicians trained in geriatrics. Nationwide our medical schools do not provide enough specialty training in the field of geriatrics. Consequently, too few physicians know and understand preventive care for the elderly or are able to manage multiple illnesses and medications. And those physicians who do care for the elderly are often put into the impossible position of turning away Medicare patients due to recent cuts in reimbursements. Additionally, HMOs have done a mediocre job providing even basic services to the elderly population.
Newspaper Article
Feasibility of interstitial stepping-source electronic brachytherapy to locally inoperable tumors
Radiotherapy is the mainstay in the treatment of locally inoperable tumors. Interstitial electronic needle-based kilovoltage brachytherapy (EBT) could be an economic alternative to high-dose-rate (HDR) brachytherapy or permanent seed implantation (PSI). In this work, we evaluated if locally inoperable tumors treated with PSI at our institution may be suitable for EBT.
A total of 10 post-interventional computed tomography (CT) scans of patients, who received PSI and simulated stepping-source EBT applied with Intrabeam system and needle applicator were used. EBT treatment planning software with 3-dimensional image and projection of applicator were applied for designing trajectories and establishing dwell positions. Dwell position doses were summarized, and doses covering 90% of the target volume (D
) achieved with stepping-source EBT were compared to those of PSI. Additionally, conformality of dose distributions and total irradiation time were assessed using conformation number (CN) or conformal index (COIN).
In all patients, D
of EBT exceeded the prescribed dose or D
of PSI on average by 4.7% or 21.3% relative to the prescribed dose, respectively. Mean number of trajectories was 5.0 for EBT and 6.9 for PSI. Average CN/COIN for EBT was 0.69, with a mean irradiation time of 27.8 minutes for standardized dose of 13 Gy.
Stepping-source EBT allowed for a conformal treatment of inoperable interstitial tumors with similar D
. Fewer trajectories were required for EBT in majority of cases.
Journal Article
Characteristics of the MIS 5 pollen record from Lathuile Gare, 456 m a.s.l., at the SW border of the Lac d'Annecy (northern French Alps)
The layers studied, parts of banquettes, consist of limnic clayey-silty fine sediments with some intercalated horizons of shaly coal and lacustrine mud flow rubble. In the lower part of the record the Bornette interglacial has been established. This is characterised by high values of Corylus and a significant presence of Quercus and Hedera in addition to a wide-spread presence of Buxus, Ulmus and Carpinus. A linkage of this interglacial to the Eemian (MIS 5e) can be considered an applicable hypothesis. Quantitatively, however, Alnus and Picea exceed all these thermophytics. However the lower part of Lathuile Gare is also characterised by palynological duplications untypical of the Eemian, for example two distinct peaks of Corylus linked to a significant decline in Picea in PZ 3 and 5 and higher values of Abies and Picea in PZ 4 and 6. Possibly these duplications can be explained by a rapid sub-aquatic flow causing a doubling of the beds. In the upper part of the Lathuile Gare record two mean climatic recession periods in the lowest and the second uppermost section (PZ 9 and 15) were detected with increased values of NAP and Pinus in PZ 9 and decreased proportions of Picea in PZ 15. They represent the Chaperon b interstadial and the Lathuile stadial correlated hypothetically with the St. Germain Ib (MIS 5c2) and the Melisey II (MIS 5b) stadial. The enclosed middle part, the Chaparon c interstadial, revealing similarities with the St. Germain Ic (MIS 5c1), is dominated by Picea and Pinus. Only a few thermophilous taxa occur in the middle of this interstadial in PZ 11.
Journal Article